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The influence of hospital nurses' moral sensitivity and ethical values on their biomedical ethics awareness

병원 간호사의 도덕적 민감성 및 윤리적 가치관이 생명의료윤리 의식에 미치는 영향

  • Lee, Yoonji (College of Nursing, The Catholic University of Korea) ;
  • Lee, Jong-Eun (College of Nursing, The Catholic University of Korea)
  • Received : 2022.08.12
  • Accepted : 2022.11.07
  • Published : 2023.02.28

Abstract

Purpose: This descriptive cross-sectional study aimed to examine the influence of nurses' moral sensitivity and ethical values on their biomedical ethics awareness. Methods: The study participants included 140 registered nurses working at three hospitals in Jeollabuk-do Province over six months. The data were collected from June 22 to July 3, 2020, and were analyzed using descriptive statistics, an independent t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression analysis with the IBM SPSS/WIN 20.0 program. Results: As a result of an analysis using stepwise multiple regression, nurses' biomedical ethics awareness was found to be significantly influenced by ethical values (β=.36, p<.001), moral sensitivity (β=.21, p=.007), and education in biomedical ethics (β=.16, p=.042) (adjusted R2=.21, p<.001). Conclusion: These findings suggest that moral sensitivity and ethical values are key factors in hospital nurses' development of biomedical ethics. Furthermore, the devising and implementing of a practical education program based on practical cases in medical situations to enhance nurses' biomedical ethics awareness is needed.

Keywords

References

  1. Moon MY, Jeon MK, Jaung AH. Relationship between nurses' consciousness of biomedical ethics, job satisfaction and nursing performance. Journal of the Korean Bioethics Association. 2013;14(1):27-47.
  2. Kim YJ, Lee MN. Attitude on nursing ethical values and on brain death organ donation of hospital nurses. The Journal of the Korea Contents Association. 2011;11(10):312-323. https://doi.org/10.5392/JKCA.2011.11.10.312
  3. Han SS, Kim J, Kim YS, Ahn SH. Validation of a Korean version of the Moral Sensitivity Questionnaire. Nursing Ethics. 2010;17(1):99-105. https://doi.org/10.1177/0969733009349993
  4. Kang S. A history and philosophy of bio-medical ethics seen from a dentist's point of view. Korean Journal of Medical History. 2002;11(2):117-136.
  5. Ha JY, Kim DH, Hwang SK. The perception of biomedical ethics in nurses. The Journal of Korean Academic Society of Nursing Education. 2009;15(2):216-224. https://doi.org/10.5977/JKASNE.2009.15.2.216
  6. Kim JY. The nursing student's consciousness of biomedical ethics before and after their clinical practice. Gender and Society. 2019;30:91-104.
  7. Lee YJ, Na YK. Awareness of biomedical ethics and attitudes to euthanasia of clinical nurses. Journal of Kyungpook Nursing Science. 2014;18(1):30-41.
  8. Lee YS. A study of the ethical values of Korean nurses. Journal of Korean Academy of Nursing. 1990;20(2):249-270. https://doi.org/10.4040/jnas.1990.20.2.249
  9. Kim OH, Ahn SA, Oh SM, Kong JH, Choi HO. The mediating effect of biomedical ethics awareness in the relationship between the moral distress and moral sensitivity of hospital nurses. Journal of Convergence for Information Technology. 2019;9(9):78-86. https://doi.org/10.22156/CS4SMB.2019.9.9.078
  10. Ersoy N, Goz F. The ethical sensitivity of nurses in Turkey. Nursing Ethics. 2001;8(4):299-312. https://doi.org/10.1177/096973300100800403
  11. Lutzen K, Evertzon M, Nordin C. Moral sensitivity in psychiatric practice. Nursing Ethics. 1997;4(6):472-482. https://doi.org/10.1177/096973309700400604
  12. Silva LS, Nitschke RG, Machado Verdi MI, Tholl AD, Lanza FM, Oliveira PP, et al. Being ethical and bioethical in daily life of primary health care: Nurses' perceptions. Revista Brasileira de Enfermagem. 2021;75(3):e20210093. https://doi.org/10.1590/0034-7167-2021-0093
  13. Vlaisavljevic Z, Milutinovic D, Milicic B, Jesic-Vukicevic R. Attitudes and knowledge of nurses on organ legacy and transplantation. Srpski Arhiv za Celokupno Lekarstvo. 2014;142(3-4):213-218. https://doi.org/10.2298/sarh1404213v
  14. Saritas S, Kapikiran G. Surgical nurses' views on organ transplantation and donation: A sample from Turkey. Transplantation Proceedings. 2018;50(10):2981-2985. Erratum in: Transplantation Proceedings. 2019;51(1):242. https://doi.org/10.1016/j.transproceed.2018.07.035
  15. Yoo MS, Shon KC. Effects of nursing ethics education on biomedical ethics awareness, moral sensitivity and moral judgment of nursing students. Journal of the Korean Bioethics Association. 2011;12(2):61-78.
  16. Kim MS. Influence of moral sensitivity and ethical values on biomedical ethics awareness of nursing students. Journal of Korean Academic Society of Nursing Education. 2015;21(3):382-392. https://doi.org/10.5977/jkasne.2015.21.3.382
  17. Yoon SH, Kim BS. New graduate nurses' stress, stress coping, adaptation to work, and job satisfaction; Change comparison by personality. Journal of Korean Academy of Nursing Administration. 2006;12(3):491-500.
  18. Park M, Kjervik D, Crandell J, Oermann MH. The relationship of ethics education to moral sensitivity and moral reasoning skills of nursing students. Nursing Ethics. 2012;19(4):568-580. https://doi.org/10.1177/0969733011433922
  19. Do YJ, Kang YS. Influence of professional self-concept, moral sensitivity on elderly care performance of geriatric hospital nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2019;20(5):128-136. https://doi.org/10.5762/KAIS.2019.20.5.128
  20. Lee JS, Ahn SH. The impact of moral sensitivity and moral distress on end-of-life care performance among intensive care unit nurses. Korean Journal of Medical Ethics. 2019; 22(2):140-160. https://doi.org/10.35301/KSME.2019.22.2.140
  21. Lutzen K, Cronqvist A, Magnusson A, Andersson L. Moral stress: Synthesis of a concept. Nursing Ethics. 2003;10(3):312-322. https://doi.org/10.1191/0969733003ne608oa
  22. Choi YR. A comparison of the nursing ethical values between clinical nurses and nursing students [master's thesis]. Jeonju: Jeonbuk National University; 2001. p. 1-62.
  23. Kwon SJ. A study on the consciousness of biomedical ethics of the nursing students and medical students [master's thesis]. Daegu: Keimyung University; 2003. p. 1-78.
  24. Lee YJ, Moon IO. Development and testing of the short form biomedical ethics scale. Global Health & Nursing. 2015;5(2):67-77.
  25. Lutzen K, Dahlqvist V, Eriksson S, Norberg A. Developing the concept of moral sensitivity in health care practice. Nursing Ethics. 2006;13(2):187-196. https://doi.org/10.1191/0969733006ne837oa
  26. Rest J, Narvaez D. editors. Moral development in the professions: Psychology and applied ethics. Hillsdale: Lawrence Erlbaum Associates, Inc.; 1994. p. 1-248.
  27. Jang MO, Chung KH. A study on the effect of small and medium-sized hospital nurses' nursing professionalism and biomedical ethics on their confidence in ethical decision-making. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2019;9(11):743-755. https://doi.org/10.35873/AJMAHS.2019.9.11.067